Visual Gait Alignment for Sensorless Prostheses: Toward an Interpretable Digital Twin Framework

A safe and interpretable visual method for prosthetic alignment assessment is proposed, suitable for sensorless scenarios such as home rehabilitation and telemedicine. The method collects human skeletal data based on a depth camera and extracts the motion difference characteristics of the left and right legs through gait symmetry analysis. Three types of clearly structured evaluation indicators are designed, including differences in joint range of motion, differences in swing phase duration, and angular trajectory similarity, to construct an interpretable alignment scoring function. This system is designed as a front-end module of a digital twin system. The scoring results can intuitively reflect differences in wearing status, facilitating real-time evaluation and adjustment of prosthetic alignment quality. Preliminary experiments have verified the stability and practicality of this method under visual recognition conditions, laying the foundation for personalized prosthetic optimization based on digital twins.